| NPI | 1538267232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES GRAYBILL De PT Chair 801-587-6470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251G0304X Physical Therapist Geriatrics |
| 2251H1200X Physical Therapist Hand | |
| 2251S0007X Physical Therapist Sports | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2011-09-07 |